Data / Rankings / Uninsured rate, ages 35 to 64 (US, ACS) / Counties in North Carolina

Counties in North Carolina by uninsured rate, ages 35 to 64 (US, ACS)

Swain County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 100 counties in 2022, at 31.6%. Camden County had the lowest, at 7%. The median was 14.8% and the figure for North Carolina was 13.7%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest31.6Swain County
Lowest7Camden County
Median14.8100 counties
North Carolina13.7History

Map of counties, 2022

Alamance County: 12.6 %Alexander County: 11.1 %Alleghany County: 21.9 %Anson County: 16.5 %Ashe County: 15.5 %Avery County: 16.8 %Beaufort County: 15.6 %Bertie County: 17 %Bladen County: 13.1 %Brunswick County: 12.4 %Buncombe County: 15 %Burke County: 13.8 %Cabarrus County: 9.3 %Caldwell County: 15.3 %Camden County: 7 %Carteret County: 14.6 %Caswell County: 14.6 %Catawba County: 13.7 %Chatham County: 11.9 %Cherokee County: 26.5 %Chowan County: 9.4 %Clay County: 24.6 %Cleveland County: 15.7 %Columbus County: 19.3 %Craven County: 11.3 %Cumberland County: 14.3 %Currituck County: 13.6 %Dare County: 12.4 %Davidson County: 14.8 %Davie County: 10.5 %Duplin County: 18.1 %Durham County: 15.2 %Edgecombe County: 14.3 %Forsyth County: 14.9 %Franklin County: 13.5 %Gaston County: 12.6 %Gates County: 12.3 %Graham County: 20.1 %Granville County: 13 %Greene County: 21.1 %Guilford County: 11.8 %Halifax County: 14.2 %Harnett County: 15.5 %Haywood County: 14.6 %Henderson County: 17.2 %Hertford County: 16.8 %Hoke County: 14.8 %Hyde County: 26.3 %Iredell County: 12.1 %Jackson County: 21.4 %Johnston County: 13.5 %Jones County: 17.1 %Lee County: 17.5 %Lenoir County: 16.8 %Lincoln County: 10 %McDowell County: 17 %Macon County: 21.9 %Madison County: 13.1 %Martin County: 12.7 %Mecklenburg County: 13.7 %Mitchell County: 15.1 %Montgomery County: 19.7 %Moore County: 11 %Nash County: 15 %New Hanover County: 13.5 %Northampton County: 13.5 %Onslow County: 14.6 %Orange County: 9.9 %Pamlico County: 15.5 %Pasquotank County: 13.2 %Pender County: 11.2 %Perquimans County: 17.7 %Person County: 11.8 %Pitt County: 11.5 %Polk County: 16.4 %Randolph County: 17.5 %Richmond County: 16.8 %Robeson County: 20.1 %Rockingham County: 13.7 %Rowan County: 13.5 %Rutherford County: 16.6 %Sampson County: 19.9 %Scotland County: 17.9 %Stanly County: 14.1 %Stokes County: 11.6 %Surry County: 15.8 %Swain County: 31.6 %Transylvania County: 18.5 %Tyrrell County: 25 %Union County: 10.7 %Vance County: 17 %Wake County: 10.7 %Warren County: 17.8 %Washington County: 14.2 %Watauga County: 15.3 %Wayne County: 16.6 %Wilkes County: 15.4 %Wilson County: 17.8 %Yadkin County: 13.3 %Yancey County: 18.2 %
  • Under 12
  • 12 to 14
  • 14 to 15
  • 15 to 17
  • 17 to 18
  • 18 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Swain County: 31.6 %Swain County31.6Cherokee County: 26.5 %Cherokee County26.5Hyde County: 26.3 %Hyde County26.3Tyrrell County: 25 %Tyrrell County25Clay County: 24.6 %Clay County24.6Macon County: 21.9 %Macon County21.9Alleghany County: 21.9 %Alleghany County21.9Jackson County: 21.4 %Jackson County21.4Greene County: 21.1 %Greene County21.1Graham County: 20.1 %Graham County20.1Robeson County: 20.1 %Robeson County20.1Sampson County: 19.9 %Sampson County19.9Montgomery County: 19.7 %Montgomery County19.7Columbus County: 19.3 %Columbus County19.3Transylvania County: 18.5 %Transylvania County18.5Yancey County: 18.2 %Yancey County18.2Duplin County: 18.1 %Duplin County18.1Scotland County: 17.9 %Scotland County17.9Warren County: 17.8 %Warren County17.8Wilson County: 17.8 %Wilson County17.8Perquimans County: 17.7 %Perquimans County17.7Randolph County: 17.5 %Randolph County17.5Lee County: 17.5 %Lee County17.5Henderson County: 17.2 %Henderson County17.2Jones County: 17.1 %Jones County17.1Bertie County: 17 %Bertie County17Vance County: 17 %Vance County17McDowell County: 17 %McDowell County17Hertford County: 16.8 %Hertford County16.8Lenoir County: 16.8 %Lenoir County16.8Avery County: 16.8 %Avery County16.8Richmond County: 16.8 %Richmond County16.8Rutherford County: 16.6 %Rutherford County16.6Wayne County: 16.6 %Wayne County16.6Anson County: 16.5 %Anson County16.5Polk County: 16.4 %Polk County16.4Surry County: 15.8 %Surry County15.8Cleveland County: 15.7 %Cleveland County15.7Beaufort County: 15.6 %Beaufort County15.6Pamlico County: 15.5 %Pamlico County15.5Swain County: 31.6 %Swain County31.6Cherokee County: 26.5 %Cherokee County26.5Hyde County: 26.3 %Hyde County26.3Tyrrell County: 25 %Tyrrell County25Clay County: 24.6 %Clay County24.6Macon County: 21.9 %Macon County21.9Alleghany County: 21.9 %Alleghany County21.9Jackson County: 21.4 %Jackson County21.4Greene County: 21.1 %Greene County21.1Graham County: 20.1 %Graham County20.1Robeson County: 20.1 %Robeson County20.1Sampson County: 19.9 %Sampson County19.9Montgomery County: 19.7 %Montgomery County19.7Columbus County: 19.3 %Columbus County19.3Transylvania County: 18.5 %Transylvania County18.5Yancey County: 18.2 %Yancey County18.2Duplin County: 18.1 %Duplin County18.1Scotland County: 17.9 %Scotland County17.9Warren County: 17.8 %Warren County17.8Wilson County: 17.8 %Wilson County17.8Perquimans County: 17.7 %Perquimans County17.7Randolph County: 17.5 %Randolph County17.5Lee County: 17.5 %Lee County17.5Henderson County: 17.2 %Henderson County17.2Jones County: 17.1 %Jones County17.1Bertie County: 17 %Bertie County17Vance County: 17 %Vance County17McDowell County: 17 %McDowell County17Hertford County: 16.8 %Hertford County16.8Lenoir County: 16.8 %Lenoir County16.8Avery County: 16.8 %Avery County16.8Richmond County: 16.8 %Richmond County16.8Rutherford County: 16.6 %Rutherford County16.6Wayne County: 16.6 %Wayne County16.6Anson County: 16.5 %Anson County16.5Polk County: 16.4 %Polk County16.4Surry County: 15.8 %Surry County15.8Cleveland County: 15.7 %Cleveland County15.7Beaufort County: 15.6 %Beaufort County15.6Pamlico County: 15.5 %Pamlico County15.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Swain County31.6+5.5 pts
2Cherokee County26.5+0.7 pts
3Hyde County26.3-6.7 pts
4Tyrrell County25-0.2 pts
5Clay County24.6+1.8 pts
6Macon County21.9+2.1 pts
7Alleghany County21.9+2.5 pts
8Jackson County21.4-2.3 pts
9Greene County21.1-1.1 pts
10Graham County20.1+2 pts
11Robeson County20.1-0.2 pts
12Sampson County19.9+0.3 pts
13Montgomery County19.7-0 pts
14Columbus County19.3-0.4 pts
15Transylvania County18.5-2.9 pts
16Yancey County18.2-1.8 pts
17Duplin County18.1-2.3 pts
18Scotland County17.9-0.7 pts
19Warren County17.8+3.2 pts
20Wilson County17.8-1.2 pts
21Perquimans County17.7+2.7 pts
22Randolph County17.50 pts
23Lee County17.5-0.9 pts
24Henderson County17.2-0.4 pts
25Jones County17.1-2.8 pts
26Bertie County17+1.8 pts
27Vance County17+1.7 pts
28McDowell County17+0.9 pts
29Hertford County16.8+2.5 pts
30Lenoir County16.8-0.7 pts
31Avery County16.8-3.5 pts
31Richmond County16.8-0.9 pts
33Rutherford County16.6-1.3 pts
33Wayne County16.6-0.1 pts
35Anson County16.5+1.9 pts
36Polk County16.4-0.9 pts
37Surry County15.80 pts
38Cleveland County15.7+0.6 pts
39Beaufort County15.6-1.7 pts
40Pamlico County15.5+1.2 pts
41Ashe County15.5-1 pts
42Harnett County15.5+0.7 pts
43Wilkes County15.4-0.8 pts
44Watauga County15.3+0.4 pts
45Caldwell County15.30 pts
46Durham County15.2-0.4 pts
47Mitchell County15.1-1.1 pts
48Buncombe County15+0.1 pts
49Nash County15-0.3 pts
50Forsyth County14.90 pts
51Hoke County14.8-0.8 pts
52Davidson County14.8+0.1 pts
53Onslow County14.6-0.8 pts
54Caswell County14.6+2.2 pts
55Haywood County14.6-0.7 pts
56Carteret County14.6-0.2 pts
57Cumberland County14.3+0.6 pts
57Edgecombe County14.3+1.2 pts
59Halifax County14.2-2.6 pts
60Washington County14.2-4.4 pts
61Stanly County14.1-1.1 pts
62Burke County13.8-1.6 pts
63Mecklenburg County13.7-0.2 pts
64Catawba County13.7+0.2 pts
65Rockingham County13.7+0.8 pts
66Currituck County13.6-1.5 pts
67Rowan County13.5-0.8 pts
68Franklin County13.5+0.1 pts
69Johnston County13.5-0.4 pts
70New Hanover County13.5+0.2 pts
71Northampton County13.5-2.2 pts
72Yadkin County13.3-1.8 pts
73Pasquotank County13.2+0.9 pts
74Madison County13.1-2 pts
75Bladen County13.1-0.7 pts
76Granville County13+0.6 pts
77Martin County12.7+0.1 pts
78Alamance County12.6-1.5 pts
79Gaston County12.6-0.3 pts
80Dare County12.4-0.5 pts
81Brunswick County12.4-0.7 pts
82Gates County12.3+1.7 pts
83Iredell County12.1-0.5 pts
84Chatham County11.9-1 pts
85Guilford County11.8+0.1 pts
86Person County11.8-1.6 pts
87Stokes County11.6-2.1 pts
88Pitt County11.5+0.3 pts
89Craven County11.3-0.8 pts
90Pender County11.2-0.3 pts
91Alexander County11.1-0.2 pts
92Moore County11+0.2 pts
93Wake County10.7-0.3 pts
94Union County10.7-0 pts
95Davie County10.5+0.2 pts
96Lincoln County10-1.5 pts
97Orange County9.9+0.2 pts
98Chowan County9.4+1.1 pts
99Cabarrus County9.3-1.1 pts
100Camden County7-1.4 pts

Other periods

About this ranking

People aged 35 to 64 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population aged 35 to 64. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Census Bureau. (2026). American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs (Counties in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, Counties in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2022. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. Counties in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2022.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, Counties in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2022,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs: Counties in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2022. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary\_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs: Counties in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2022.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.
ER  -
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Questions

Which county has the highest uninsured rate, ages 35 to 64 (US, ACS)?

Swain County, with 31.6% in 2022, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 35 to 64 (US, ACS)?

Camden County, with 7% in 2022.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, ages 35 to 64 (US, ACS): other rankings

Counties in North Carolina: more rankings